PATRICIA MARIE PETZOLD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013941152

PATRICIA MARIE PETZOLD (CRNA) is a healthcare provider. based in Orlando, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP2187172 (FL). The NPI Number for PATRICIA MARIE PETZOLD (CRNA) is 1013941152

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA MARIE PETZOLD (CRNA)
NPI
1013941152
Phone
(800) 642-1999
Address
PO BOX 918025
Enumeration Date
11 July 2006
Last Update Date
28 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3166867327202
Graduation Year
1987 (39 years ago)
PAC ID
3779544226
Group Practice PAC ID
4587577796
Professional Enrollment ID
I20140211001681
Address ID
KS672062367WI8080XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:19State licenses:3Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for PATRICIA MARIE PETZOLD (CRNA)

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328918025

    Phone: (800) 642-1999

    Fax: (248) 646-0361

    Type: Mailing

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326103003

    Phone: (800) 642-1999

    Fax: (248) 646-0361

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121203000380ICertified Registered Nurse Anesthetist (Crna)MATBD
I20140211001681ICertified Registered Nurse Anesthetist (Crna)KSTBD
I20150708001116ICertified Registered Nurse Anesthetist (Crna)VTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32891)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587577796View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Anesthesiology, Interventional Pain ManagementKS
-KS
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YKS
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YKS
-KS
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

Is there an official ID for PATRICIA MARIE PETZOLD (CRNA) in U.S. healthcare records?
The official identifier for PATRICIA MARIE PETZOLD (CRNA) is NPI 1013941152.
Is PATRICIA MARIE PETZOLD (CRNA) still an active registrant?
PATRICIA MARIE PETZOLD (CRNA) carries an active NPI according to the public dataset.
What area of care is associated with PATRICIA MARIE PETZOLD (CRNA)?
PATRICIA MARIE PETZOLD (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with PATRICIA MARIE PETZOLD (CRNA)?
Directory geography for PATRICIA MARIE PETZOLD (CRNA) centers on Orlando, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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